Active NPI
University of Louisville Research Foundation, Inc
Doing business as Renal Transplant Laboratory
- Clinical Medical Laboratory
- Louisville, KY
National Provider Identifier
1346247111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 200145
- Legal business name
- UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC
- Doing business as
- Renal Transplant Laboratory
- Practice address
- 500 S Preston St
Room 126, BLDG 55B
Louisville, KY 40202-1702 - Phone
- (502) 852-5865
- Fax
- (502) 852-5782
- NPI assigned
- Jul 7, 2005
- Last updated
- Nov 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon Bernard Klein, M.D.
- Title
- Laboratory Director
- Phone
- (502) 852-5865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 200145 | KY | Primary |
Addresses
Primary practice location
500 S Preston St
Room 126, BLDG 55B
Louisville, KY 40202-1702
Mailing address
500 S Preston St
Room 126, BLDG 55B
Louisville, KY 40202-1702
Phone (502) 852-5865
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1058952 VEN# 1058830 | Medicaid | KY | |
| 000001555J | Other | KY | HUMANA PROV # |
| 50A8 | Other | KY | BLUE CROSS |
| 200073430A | Medicaid | IN | |
| 000000070124 | Other | KY | BCBS(NEWER POLICIES) |
| 37902442 | Medicaid | KY | |
| 5416V4981 | Other | KY | HEALTHCARE PREFERRED PROV |
| 3580095 | Other | KY | UNITED HEALTH CARE PROV # |
Other names 1
- Renal Transplant Laboratory
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba The STAR Program
- Developmental - Behavioral Pediatrics Physician
- Louisville, KY
- NPI 1023096690
Member Of
Locations
500 S Preston St
Rm 126
Louisville, KY 40202
Phone (502) 852-5865
Health Science Ctr
Louisville, KY 40292
Phone (502) 852-0255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1346247111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S PRESTON ST",
"address_2": "ROOM 126, BLDG 55B",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021702",
"telephone_number": "502-852-5865",
"fax_number": "502-852-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S PRESTON ST",
"address_2": "ROOM 126, BLDG 55B",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021702",
"telephone_number": "502-852-5865",
"fax_number": "502-852-5782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "502-852-5865",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "KY",
"license": "200145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1058952 VEN# 1058830",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROV #",
"identifier": "000001555J",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50A8",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200073430A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS(NEWER POLICIES)",
"identifier": "000000070124",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37902442",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PREFERRED PROV",
"identifier": "5416V4981",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE PROV #",
"identifier": "3580095",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Renal Transplant Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Louisville, KY
- University of Louisville Research Foundation Inc. (ULRF Medicine Hospitalists)
- University of Louisville Research Foundation Inc. (ULRF Bone Marrow Transplant)
- University of Louisville Research Foundation Inc. (ULRF Colorectal Surgery)
- University of Louisville Research Foundation Inc. (ULRF Endocrinology)
- University of Louisville Research Foundation, Inc (ULRF Radiological Associates)
- University of Louisville Research Foundation, Inc (Special Procedures Laboratory)
- University of Louisville Research Foundation, Inc (Kidney Disease Program / Louisville Renal Dialysis Facility)
- University of Louisville Research Foundation, Inc (Campus Health Services Office - Health Science Center)
- University of Louisville Research Foundation, Inc (Children and Youth Project)
- University of Louisville Research Foundation, Inc. (Children and Youth Project - Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.